Archive for the ‘Health Care’ Category

Obesity, poverty, and the food system

Thursday, July 1st, 2010

According to a new report F as in Fat: How Obesity Threatens America’s Future, Alabama is still the second most overweight state in the country. Over two-thirds of Alabama adults are either overweight or obese.

It shouldn’t be a surprise that not only are we the second fattest state, we also have the fourth highest rate of diabetes and the tenth highest rate of poverty. At the same time, we have the 11th highest rate of hunger.  How is poverty related to both obesity and hunger?

Last night, I attended a discussion on food security at the UAB School of Public Health.  Here are some of the speakers’ thoughts about the obstacles to healthier eating:

 

  • Lack of resources

For some working families, nutrition may seem like a luxury. According to Paulette Van Matre of Magic City Harvest, “food is the last thing many families think about.” Rent, utilities, childcare, and transportation are all immediate expenses that come first. And Paulette notes, “100,000 people in the greater Birmingham area don’t know where their next meal is coming from. So if you’re in that situation, nutrition is way down on your list of requirements.”

  • The Food System

Another obstacle to accessing healthy food? Food deserts.  Sam Crawford of Main Street Birmingham tells the story of one woman at a bus stop who vividly illustrated this point. “I asked her where she was going. She said she was taking the bus to the grocery store. I asked her, how long did it take her to get there? She said it took her two hours just to get dropped off within six blocks of the grocery store. Then I asked how long she had been waiting. She said she had been waiting over 45 minutes for the bus. Sometimes, she said, the bus never came.”

Sally Allocca from East Lake’s P.E.E.R., Inc. confirmed that she drives several miles to shop at a decent grocery store while many people in her community lack such transportation. She mentioned going into a local market recently and seeing “brown corn and a rotten, mushy watermelon sitting in the bottom of a produce case.” Main Street Birmingham is working to address this problem by linking grocers with access-poor communities with their Urban Food Deserts survey.

  • Education

According to Ama Shambulia of the West End Community Gardens, many families have lost the art of cooking. “Even if you can buy healthy food, do you know how to prepare and eat it? In many households, the kids don’t, and the moms don’t either.” Through training and classes at WE gardens, Ama is helping kids to grow, prepare, and eat fresh foods. She also offers trainings to support adults in making healthier choices. During their fall collard greens cook off, for example, they work on cooking greens “without adding half a hog.”

Edwin Marty of Jones Valley Urban Farm notes that “children have to be taught what is food and what isn’t. It’s not something you’re born knowing.” As one panelist noted, if children grow up eating chips and soda for breakfast, they’re not going to learn how to make healthy choices. Parents play an important role in this, as do school lunch program, teachers and farm-to-table programs. The Healthy Kids, Healthy Communities grant is working on this issue in Jefferson County.

  • Culture

Many working families are crunched for time, and preparing fresh or healthier foods seems like a hassle. Instead, people from all socioeconomic backgrounds rely on prepared foods, restaurants and fast food. “It’s the new American way,” notes Ama. Changing the food culture, and demonstrating that “a meal doesn’t even have to be cooked,” may be a revolutionary concept. Yet without education about healthy eating habits, trying new foods can be intimidating.

Want to be a part of the solution? Join in the discussion by attending Birmingham’s 3rd annual Food Summit in November.  We’re helping plan the event, featuring Alabama’s top food reformers and national experts.  UPDATE: The Food Summit has been scheduled for November 12-13, 2010. Submit program proposals to bhamfoodsecurity@gmail.com by August 15.

Posted by Robyn Hyden

642,000 Alabamians have something to celebrate

Wednesday, March 24th, 2010

One great result of this week’s health care overhaul is that 642,00 uninsured Alabamians will be eligible for health coverage.

The Birmingham News reported that when the legislation takes effect in 2014, 400,000 new Alabamians will be eligible for Medicaid.  The coverage will now extend to people living at up to 133 percent of the poverty line – for a family of four, just $29, 327 a year. This is a 50 percent increase over previous Medicaid coverage in Alabama.

Medicaid covers children, pregnant women, seniors, and the disabled who are living in poverty. About 20 percent of our state receives Medicaid benefits already. This expansion will cover even more of our neighbors living in poverty.

Additionally, an estimated 242,000 Alabamians who are uninsured due to pre-existing medical conditions will be able to buy insurance through state-run exchanges.

Want to see how the health care reform legislation will affect you immediately? Check out this nifty interactive graphic at the New York Times.

Posted by Robyn Hyden

Why We Need Health Care Reform

Friday, November 6th, 2009

The Center for American Progress put out interesting state-by-state fact sheets based on current Census data showing how our current health care system doesn’t meet our needs.

Check out Alabama’s fact sheet here

I will be in Perry County on Saturday speaking at Sowing Seeds of Hope‘s Health Care Forum.  It is part of this Black Belt county’s Obama Day activities.

Posted by Kristina Scott

Half of all kids on food stamps at some point during their childhood

Wednesday, November 4th, 2009

I have to admit that I was surprised when I read this editorial in the Florence Times Daily today that half of all American children receive food stamps assistance sometime during their lifetime.  Half.  Wow.

Here’s the full text of the editorial and a link to the underlying study in the Archives of Pediatrics & Adolescent Medicine:

Kids in poverty

A new report shows about half of all U.S. children will be on food stamps at some point during childhood, whether it be for a month, six months or years.

Food stamps are among the welfare programs that many middle class and wealthy Americans like to bash.

But they do so at their own risk. If the person to whom they are complaining is 40 or younger, there’s about a 50 percent chance he or she survived on food stamps at one point in life.

About 49 percent of all U.S. children are on food stamps at some point during childhood, according to a study released in the November issue of Archives of Pediatrics and Adolescent Medicine. That includes 37 percent of white children and 90 percent of black children.

“Your neighbor may be using some of these programs but it’s not the kind of thing people want to talk about,” said Mark Rank, lead author of the study and a sociologist at Washington University in St. Louis.

Food stamps are available for low-income people and families, covering most foods, but not prepared hot foods or alcohol. The income for a family of four cannot exceed about $22,000 to receive this help.

Yes, there are abuses, but the average monthly benefit is $222 so no one is getting rich off food stamps. And while many children benefit from the program, children are not among the abusers of food stamps.

The federal program is especially important in a poor state such as Alabama, where many adults struggle to feed their families. And during the current recession, with high employment rates, food stamps are even more critical.

So if you enjoy bashing welfare programs, be careful before you criticize this one in front of other people.

This is one of those cases in which “them” is “us.”

Posted by Kristina Scott

Senate Finance Committee Votes Yes

Thursday, October 15th, 2009

The Senate Finance Committee finally took a vote on health care reform on Tuesday.  Thanks to an unexpected yes from Senator Olympia Snowe (R-ME), the committee voted 14 to 9 in favor of the legislation, which aims to provide health insurance to more Americans by expanding Medicaid, provide tax credits to help low- and middle-income people buy coverage, and creates health insurance exchanges for individuals and small businesses. It also would require employers that don’t offer coverage to help pay for employees’ government-subsidized coverage.


As reported in Wednesday’s New York Times, “Snowe’s remarks silenced the packed committee room, riveted colleagues and thrilled the White House.”

If passed, this Health Care Reform legislation will bring a sigh of relief and take a pound of heavy bricks off the shoulders of children and adults suffering from pre-existing conditions.

I am one of those people.  I have had Type 1 Diabetes since I was seven and have endured the disease’s daily burdens for sixteen years.  My college graduation in May was very scary for me, because I knew I could no longer depend on my dad’s insurance plan.  When I added up the costs of one month’s worth of medication, I nearly fainted.  I felt enraged and overwhelmingly helpless.



Having President Obama in the White House brought me some hope in the lifelong battle I have had and will continue to have not only with diabetes but also with insurance companies.  President Obama’s intent to make healthcare available to everyone and ensure that all pre-existing conditions be covered was the first time I felt some relief.  I have tangible hope that my fellow diabetes sufferers and I will have some relief from the daily worries and hassles of the disease.  Change really can happen and it could even happen during my lifetime.

I hope you will continue to engage in our national discussion about healthcare.  Our lives – and the lives of our family, friends and neighbors – depend on it.

Posted by Patience Kleber

Creating a Healthier State

Wednesday, July 1st, 2009

A couple of years ago, I had the privilege of working with the lawyers who filed criminal charges against a local hospital for dumping a homeless woman wearing only hospital gowns on the streets of LA’s Skid Row.  During that time, I commented to one of my co-workers that if we could fix health care in America, we would go along way towards rooting out many of the ills that affect our society.  

Well, we are in the midst of a national conversation about a new vision for our health care system and with this discussion comes a great opportunity to eradicate one of the systemic causes of poverty.

Unfortunately, the people of great state of Alabama are not in great health.  (Find out exactly how bad things are here. Here are a couple of highlights:

Alabama is the second most obese state in the country (Mississippi is number one), and the Robert Wood Johnson Foundation says that the current economic crisis could exacerbate the obesity epidemic. Food prices, particularly for more nutritious foods, are expected to rise, making it more difficult for families to eat healthy foods. Depression, anxiety and stress, which are linked to obesity for many individuals, also are increasing.  

And 1.2 million Alabamians, mostly from working families, were uninsured at some point during 2007 and 2008, according to Families USA.  That means 30.9 percent of the people younger than 65 either lost insurance at some point during those two years, or never had it at all.

I hope that these facts and figures spark you think about your own health care stories. . . and to take part in our national debate about health care.  

Here is a good tool to compare all the proposals out there.

There are tons of ways to participate.   One of the best ways is to attend a town hall meeting.  Two are coming up in the next week:

Huntsville-Thursday, July 2
 Arise Citizens’ Policy Project & Alabama Appleseed Center for Law & Justice
Health Care Reform Town Hall Meeting with 
US Rep. Parker Griffith
5:30 – 6:30 PM
Davidson Center 3D Digital Theater
U.S. Space and Rocket Center
1 Tranquility Base, Huntsville, AL  35805
More info 
here.

Birmingham-Monday, July 6
Health Care Summit with 
US Rep. Artur Davis
5:30 p.m. – 7:30 p.m.
Alys Stephens Center
1200 10th Avenue South
Birmingham, AL 35294
More info 
here.

Here are few other resources to get more information and share your stories:

Health Care for America
Families USA
HeathReform.gov from the U.S. Department of Health & Human Services

Hope you all have a peaceful July 4th.